The psychiatric-mental health nurse is performing the admission assessment of a client who is being admitted for depression and anxiety. The client reports a long history of excessive alcohol use and the recent loss of her job. When the nurse asks whether she has a religious preference or affiliation, the client states. "I used to believe in God, but I do not anymore. I do not understand how God can allow terrible things to keep happening to me.' Which nursing diagnoses will the nurse include in the client’s care plan?
Risk for lack of faith
Risk for spiritual distress
Risk for impaired religiosity
Risk for impaired spirituality
The Correct Answer is B
The client's statement about losing faith in God and not understanding how God could allow bad things to happen to her suggests that she is experiencing spiritual distress. This can be common among individuals experiencing depression and anxiety, as they may struggle to find meaning or purpose in their lives.
Option a, Risk for lack of faith, is not a recognized nursing diagnosis.
Option c, Risk for impaired religiosity, may be more appropriate for a client who has experienced a significant change in their religious practices or beliefs but does not necessarily indicate distress.
Option d, Risk for impaired spirituality, could be appropriate but may be too broad and not specific enough to the client's situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Involuntary mental health admission may be necessary when a person is unable to care for themselves or poses a danger to themselves or others due to a mental illness. In this case, if the client is unable to provide for their own basic needs, such as food, shelter, and clothing, due to a mental illness, they may qualify for involuntary admission for treatment.
Correct Answer is A
Explanation
Sublimation is a defense mechanism in which socially unacceptable impulses or drives are redirected into socially acceptable activities or behavior. For example, someone who has aggressive tendencies may channel those impulses into playing competitive sports, or someone who has sexual desires may channel those impulses into creative work like painting or writing.
Regression refers to a defense mechanism where an individual retreats to an earlier stage of development, such as acting like a child when under stress. Undoing is a defense mechanism in which an individual tries to undo or negate a previous action or thought, such as making up for a mistake by performing a good deed. Suppression is a defense mechanism where an individual consciously avoids thinking about or dealing with certain thoughts or emotions.
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